1. Teaching Students with Oppositional Defiant Disorder (ODD)
Building a fundamental knowledge base
Bender vs. Principal Vernon
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2. An Overview of ODD Definition of ODD Comorbidity (handout)
DSM-IV (1994)
Characteristics
Prevalence about 6-10%
Comorbidity (handout)
25-50% meet DSM diagnosis
ADHD 50-65%
Assessments (handout)
Non-clinical (ODD & ADHD)
Vanderbilt Assessment Scale

3. Ramifications of ODD Risk factors Treatments:
Nurture –
Changing Practice (Joe)
Nature –
Adopted children of anti-social fathers more
likely than non-AS fathers
Twins studies support genetic components
Treatments:
Early interventions
Medication?
Family centered CBT
Dialectical behavior therapy (DBT)
Implications for the child's future?
Conduct Disorder 30% (separate disorder)
Academic Difficulties

4. Strategies for Teaching Students with O.D.D.
Observing Models
and Cases:
Nancy
Strategies for Teaching Students with O.D.D.

5. Setting up for success: Cassandra
“Arrange the child's environment so the right response is the easiest response.”
Macro Environment
Room
Schedule
Desk Placement
Your Attitude
Clear and finite expectations
Micro Environment
Comfort of desk
Childs Daily Schedule
Organizational System
Hall & Hall, 2003

6. Removal from the classroom: Billy
“The child is removed only to protect people, property
and to ensure a viable teaching and learning environment.”
Voluntary leaving the classroom
Child involved
Develop a relationship
Develop a plan
Your Attitude
Clear and finite expectations
When the plan fails
Use physical restraint as a last resort
Re-direct behavior
Do not threaten or get angry
Hall & Hall, 2003

7. Oppositional Defiant Disorder Reflection on Your Practice
Jenn

8. The Perspectives of Donald & Mrs. Burke
Working Toward A Reward
Disruptive During Normal Tasks
Unaware of Impact
Not Seeking Attention
Fails to Exhibit Appropriate Behavior
Fails to Gain Reward
How would this student feel?
Offers Large Enticing Reward
Asks Simple Requests for Participation
Frustrated with Disruptions
Ignores “Attention Seeking” Behavior
What would you do?
Share the abbreviated scenario of Donald and Mrs. Burke. Review with this slide. Ask for feedback.

9. Survey: What Are Your Experiences?
Environment
Removal/Time Out
Ignoring/Acknowledging
Reward Systems
Fears/Frustration
Successes
Proactive Approaches
Skill Building Opportunities
Hand out survey that has 10 or less questions. Multiple choice 1-9.
Last question can be: What technique do you want to learn about the most?

10. Oppositional Defiant Disorder Changing Practice

11. You Know This Student Disrupted Home life Co-morbidity with ADHD
Medicated
Non Compliant
Distracted or Disinterested
Verbally or physically abusive.
Lacks inhibition control

12. Turn the behavior upside down What is the behavior achieving for the student?
Autonomy.
Attention.
Definition of self.
Intentional?

13. That Won't Work! Punish the Behavior
withstanding punishment linked to self image
Ignore the Behavior
no awareness of impact
Reward systems impulse behaviors are unresponsive

14. Teaching Students with Oppositional Defiant Disorder
Gaining and Sharing Expertise
John

15. Classroom and School Strategies
Removing a Student from the Classroom
When should a student be removed?
Creating a plan with the student
Importance of building a strong relationship with the student
Students must feel physically and emotionally safe
Students must feel valued and accepted

16. Classroom and School Strategies
Strategies for Building a Positive School Culture:
Ensuring Success
Independent Decision Making
Teaching for Behavior Change
No Punishment
Gentle Interventions
Logical Consequences
Developing a Mission Statement
Importance of Hiring
Summary of Strategies from Survey
What’s working?